The Use of a Polyetheretherketone (PEEK) Implant to Reconstruct the Midface Region. Issue 6 (November 2016)

• Record Type: Journal Article
• Authors: Hussain, Rumana N.; Clark, Martin; Berry-Brincat, Antonella
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 32:Issue 6(2016:Nov./Dec.)
• Publication Date: 2016-11
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000000345
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : A good functional and cosmetic result after midfacial reconstructive surgical procedures is of paramount importance. We describe the use of a Polyetheretherketone (PEEK) implant to reconstruct the midface area, after extensive mutilating surgery due to an infiltrative skin tumor. A 67-year-old male patient underwent multiple and extensive surgeries to the left cheek and lower lid because of a highly aggressive metatypical basal cell carcinoma. Complete resection of the recurrent tumor resulted in a cosmetically evident absent cheek contour and facial deformity. The PEEK implant was used to restore the bony cheek contour, with good aesthetic outcome and restoration of the facial symmetry. Preoperative planning with 3-dimensional CT scans allow for customization of the implant. PEEK implants have been scantily described in the periorbital region. The material has a very low reported morbidity and also has the advantage of improving intraoperative predictability and reducing surgical time in complex reconstructive procedures. Abstract : PEEK (Polyetheretherketones) customized implants are both cosmetically and functionally effective in mid facial reconstructions, reducing perioperative uncertainty without interfering with the long-term care and follow up in patients with a previous diagnosis of malignancy.